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Living Will

Medical treatment preferences and end-of-life decisions when unable to communicate wishes.

LIVING WILL

This Living Will is made on [DATE] by [NAME], a competent adult, to provide guidance regarding my medical care.

1. DECLARATION

If I become unable to communicate my healthcare decisions due to illness or incapacity, this document expresses my wishes.

2. LIFE-SUSTAINING TREATMENT

If I am terminally ill with no reasonable prospect of recovery, I [DO/DO NOT] want life-sustaining treatment including: [SPECIFIC TREATMENTS].

3. ARTIFICIAL NUTRITION AND HYDRATION

If I am in a persistent vegetative state, I [DO/DO NOT] want artificial nutrition and hydration to be provided or continued.

4. PAIN RELIEF

I want adequate pain relief and comfort care even if it may hasten my death or make me unconscious.

5. ORGAN DONATION

Upon my death, I [DO/DO NOT] wish to donate organs and tissues for transplantation or medical research.

6. HEALTHCARE PROXY

I designate [HEALTHCARE PROXY NAME] as my healthcare proxy to make decisions consistent with this Living Will.

DECLARANT: _________________ Date: ___________

[DECLARANT NAME]

Witnessed by:

Witness 1: _________________ Date: ___________

Witness 2: _________________ Date: ___________

Notarized: _______________

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What is a Living Will?

A Living Will provides advance directives for medical treatment preferences when you cannot communicate your healthcare decisions due to illness or incapacity.